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th�� En��r�pcen I <br /> =�r� ��F CONSTR�7CTION everPtt <br /> evere�:t PERMIT <br /> LIIY Nill :Se[,py,5 <br /> f\LFfll.l'iI.'Pne�i10N <br /> �Li�l <br /> "`°' °"°^."°"" BUILDING MECHANICAL PLUMBING <br /> UtvEIUPn•INI <br /> UWNEII MAILA�OqESS ZIV FHONE <br /> ?:I%7C � : '?' �:'?�2 STSSf1 9�2ql. 3C+?93�Tb <br /> ARCHIIECT OF OESIGNEIi MAIL ADORE55 PHONE LICENSE NU. <br /> GENERAL CONTFI1CTOfi MAIL ADDRESS PHONE LICENSE NO. <br /> �',p <br /> MECHANICAL CONTRACTOR MAIL A�DFESS PHONE LICENSE NO. <br /> PWMpINGCONTRACTG:I MAILADDR[SS PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOFK � <br /> p z <br /> �PUILDING �PLUMBING �M[CIIANICl�L F- <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑FL°AIR � <br /> VALUATION OFW/�pyq��_M � <br /> s `+N7w �pEMOL1511 ❑FEIJCE ❑SI.N ❑SWIMh11NG POOL a <br /> DESCftIUf.WOIiK :.�.t.LrcYi ��Te,�.. .. n..}.�4 ?? `�i,t-M �55� <br /> Paoroseo use MECHANICAL <br /> LEGALf]ESCRIPTIONOFPROPERTVISHOWLtF.LO'AORATTACH TVP[ Of FUEL �OIL G'N^T. �LPG. �ELEC. <br /> fOURCOPI[51 �� �r. <br /> � Six ' .. .''.�a'TD NO. TYPE OF EQCIPMENT FEE <br /> LOT OLOCK—OF <br /> R C!� F�u l�IR COND.UNITS-II.P. E:\. S I <br /> M �7:y � µu x � �� � liEF�IG[RATION UNITS_II.P. EA. <br /> ❑OiLERS--H.P. LA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> fOPC[D NR SYSTEMS-O.1.U. M EA. I <br /> JOB ADORE55 '��' �j Wl1LL H[ATE�S-f3.l.U. M <br /> UNIT H[ATERS-[i.l'.U. M I <br /> EVAPOFl�TIVECOOLEFS <br /> PLUMBING CLOTHES DFVERS i <br /> VENTILATION FAN <br /> PANGEHOOD 1 <br /> NO. 7YPE OF FIXTURE OR ITEM FEE _ A�� �iANOLING UN1T- C.F.M. <br /> WATE1iCLO5ETITOILETI 5 INCINERATOP � <br /> 6nTHTUH <br /> Ll+V ATO R V I W ASH 6ASIN) I <br /> SHOIY[P — <br /> KITI'HEN SINK& DISP. SUp TOTAL $ � <br /> UISHWASHFH PERtdIT 5 <br /> LAUNDHVTRAY I TOTALFEE 5 � <br /> _ CLOTHES W�15HLfl THIS PERMIT OECOAAES NVLL /1ND VOID IF WORK OR CONSTRUC <br /> W�TEF ME4T[R _ TION �UTNOHIZ[O IS NOT COMMENCL9 WITHIN 120 OAVS, OVi IF <br /> URINAI CONSTRUCTiON OR WORK IS SUSPENOED OR ABANDONE� FOR A <br /> URINKING FOUNTAIN —1 PERIOO OF 120 DAYS AT ANV TIME AFTER WOIiK IS COMMENCED. <br /> FLOOR-SINK OR DfiAIN � NEREOY CEflTIFV THAT I HAVE FiEAD AND E%I�MINE� TIliS AP� <br /> VAC'JVM flR[AKERS PLICATION AND KNOW TME SAM11[TO 6L TfiUE ANp CUfiR[CT. ALL <br /> PAOVISIONS Of LAN'; AN� OROINANCES GOVERNING THiS TVPE <br /> ROOF �RAINS-RAINL[l�0ER5 OF WORK WILL ElE COM1IPUEO WITH WH[THER SPEC�fI[U MEIiEIN <br /> SINK IS[RVICE-Fl/�Ii, ETC.) OH NOT, THE GliANTING OF A PERMIT pOES NOT PR[SUME TO <br /> — GIV[ AUtHp(iITV TO VIOLATL OR CANCEL iHE PRCVISIONS OF <br /> ANY OTMER STAIE DR LOCAL LAIV fiEGULATING CONSTRUCTION <br /> OR TNE PERfOIiMANCE OF CONSTRUCTION. <br /> SU� TOTAL <br /> - -- -'--' PERMIT — S -�_—�-- <br /> _ _ __ ToinLFEE _ 3 --� �hn/.e[ <br /> x (.4(( �V <br /> SIGNATUfiEOFCONTHACTOROfil�UTH.AGENT OME <br /> 51�[ vARpS[i[3ACK STFEETSETOACK REARVAPDSETI3ACKPLANCHECKNUMBEF PLANCMECKFEE <br /> f-EE RKEIPT NO. <br /> USE20NE .LOTAREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCV GROVP NO.OF pWELLING <br /> UNITS I <br /> 512[OF HLDG. NO.OF STORIES MA%.00Q LOAD f3UILDING $ J � <br /> I <br /> — — _y <br /> PLUMBING � <br /> fIPE20NE 13/�SEMENT FIIiESPRINKLlRS � <br /> P[OUIPED I <br /> ❑vE3 ❑NO MECHANICAL I <br /> SPBCIALCONDITIONS'. OTNER � <br /> PENELTv SEC.�031a1 I <br /> TOTAL �` ,� <br /> PERMIT VAIIDATION <br /> � WH[NPROPEfiLVVALIDATEUIINTHISSP�CE)iHI515Y0URPERIr11T <br /> /.f'C(ICITONFCCCCiCDBY PIT6C�TIlK(010' hPPPOViPfnl'�y';',�n•N� [�y <br /> L� C� <br /> — — � � <br />